Organization Active NPI

Fcid Florida, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Palm Bay, FL
National Provider Identifier
1134442205
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
FCID FLORIDA, INC.
Practice address
1071 Port Malabar Blvd NE
Suite 104
Palm Bay, FL 32905-5161
Phone
(321) 725-0085
NPI assigned
Mar 3, 2010
Organization subpart
Yes
Parent organization
FCID HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Donald A. Bittar
Title
Secretary
Phone
(321) 750-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1071 Port Malabar Blvd NE
Suite 104
Palm Bay, FL 32905-5161

Mailing address

709 S Harbor City Blvd
Suite 250
Melbourne, FL 32901-1938
Phone (321) 750-0090

National Provider Directory

National Provider Directory

Locations

709 S Harbor City Blvd
Ste 250
Melbourne, FL 32901
Phone (321) 802-5810

1071 Port Malabar Blvd NE
Ste 104
Palm Bay, FL 32905
Phone (321) 725-0085

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1134442205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD",
            "address_2": "SUITE 250",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011938",
            "telephone_number": "321-750-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 PORT MALABAR BLVD NE",
            "address_2": "SUITE 104",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055161",
            "telephone_number": "321-725-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCID FLORIDA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FCID HOLDINGS, INC.",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "BITTAR",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "321-750-0090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.